Individual provider Active NPI

Sharmilee Vishwajit Shetty, M.D

  • Family Medicine Physician
  • Smithtown, NY
National Provider Identifier
1184700478
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
236809 Issued in NY
Practice address
9 Brooksite Dr
Smithtown, NY 11787-3400
Phone
(631) 724-1331
Fax
(631) 360-5646
NPI assigned
Oct 28, 2006
Last updated
May 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 236809 NY Primary

Addresses

Primary practice location

9 Brooksite Dr
Smithtown, NY 11787-3400

Mailing address

9 Brooksite Dr
Smithtown, NY 11787-3400
Phone (631) 724-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908001160 NY Practitioner - Family Practice 5890727929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

777 Larkfield Rd
Commack, NY 11725-3136
Phone (631) 724-1331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Dec 31, 2012 Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 31, 2012 Accepting new patients
Collin Em Brathwaite MD PLLC Past Accepting new patients

Locations

777 Larkfield Rd
Commack, NY 11725
Phone (631) 635-5100

300 Community Dr
Manhasset, NY 11030

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

48 Route 25A
Ste LL7
Smithtown, NY 11787
Phone (631) 784-7400

9 Brooksite Dr
Smithtown, NY 11787
Phone (631) 724-1331

9 Brooksite Dr
Ste 1
Smithtown, NY 11787
Phone (631) 724-1331

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sharmileeshetty@nslijmedgr.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1184700478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BROOKSITE DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873400",
            "telephone_number": "631-724-1331",
            "fax_number": "631-360-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BROOKSITE DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873400",
            "telephone_number": "631-724-1331",
            "fax_number": "631-360-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "SHARMILEE",
        "middle_name": "VISHWAJIT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.